Individual
IESHA AGNES CRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
601 BELMONT AVE, HALEDON, NJ 07508-1629
(201) 892-2035
Mailing address
20 CREWS ST, TOTOWA, NJ 07512-2023
(201) 892-2035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05868700
NJ
Other
Enumeration date
02/25/2016
Last updated
10/17/2020
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